Respiratory Disorders and Interventions
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Questions and Answers

A patient with emphysema is receiving oxygen therapy. Which delivery method is most appropriate to prevent oxygen-induced hypercapnia?

  • Nasal cannula at 2 L/min
  • Simple face mask at 8 L/min
  • Venturi mask set at a precise FiO2 (correct)
  • Non-rebreather mask at 15 L/min

Upon auscultation of a patient's lungs, a nurse hears high-pitched, popping sounds during inspiration. Which term accurately describes this finding, and what is the likely underlying cause?

  • Vesicular sounds, indicating normal airflow
  • Crackles (Rales), caused by fluid in the alveoli (correct)
  • Rhonchi, caused by airway obstruction
  • Wheezes, caused by narrowed airways

A patient presents to the emergency department with sudden onset shortness of breath, absent breath sounds on the left side, and tracheal deviation to the right. Which condition is most likely and what immediate intervention should the nurse prepare for?

  • Pneumothorax; prepare for oxygen administration
  • Hemothorax; prepare for chest tube insertion
  • Tension pneumothorax; prepare for needle thoracostomy (correct)
  • Asthma exacerbation; prepare for bronchodilator administration

An arterial blood gas (ABG) result shows: pH 7.30, PaCO2 55 mm Hg, and HCO3- 24 mEq/L. How should the nurse interpret these findings?

<p>Respiratory acidosis, uncompensated (C)</p> Signup and view all the answers

A patient with a history of asthma is prescribed both albuterol and fluticasone inhalers. What is the correct instruction regarding the use of these medications?

<p>Use albuterol before fluticasone to open airways for better steroid penetration. (C)</p> Signup and view all the answers

A patient presents with confusion, muscle weakness, and a decreased level of consciousness. Blood tests reveal a sodium level of 118 mEq/L. Which fluid imbalance is the MOST likely cause of these symptoms?

<p>Hyponatremia (D)</p> Signup and view all the answers

A patient with a history of heart failure is admitted with shortness of breath and peripheral edema. Which type of intravenous fluid would be MOST appropriate to administer cautiously to this patient?

<p>Isotonic solution (B)</p> Signup and view all the answers

A patient is prescribed a loop diuretic for the treatment of heart failure. Which electrolyte imbalance is the nurse MOST concerned about monitoring in this patient?

<p>Hypokalemia (A)</p> Signup and view all the answers

A patient is admitted with severe dehydration. The doctor orders an initial bolus of intravenous fluids. What assessment finding would indicate that the fluid replacement is having a therapeutic effect?

<p>Decreased heart rate (C)</p> Signup and view all the answers

A patient with a known albumin deficiency is likely to exhibit which of the following clinical manifestations?

<p>Generalized edema (A)</p> Signup and view all the answers

A patient develops metabolic acidosis due to diabetic ketoacidosis. Which compensatory mechanism would the body MOST likely initiate?

<p>Increased hydrogen ion excretion (D)</p> Signup and view all the answers

A patient presents with muscle cramps, hyperactive reflexes, and seizures. Lab results reveal a calcium level of 14.5 mg/dL. Which of the following interventions is MOST appropriate?

<p>Initiating cardiac monitoring (C)</p> Signup and view all the answers

A patient is suspected of having third spacing. Which assessment finding would BEST support this suspicion?

<p>Decreased urine output despite adequate fluid intake (B)</p> Signup and view all the answers

A patient with suspected active tuberculosis (TB) is admitted to the hospital. Which intervention is the MOST appropriate to initiate FIRST?

<p>Initiating airborne precautions and placing the patient in a negative-pressure room. (B)</p> Signup and view all the answers

A patient is prescribed a combination of anti-tubercular drugs including rifampin. What significant patient education should the nurse provide regarding this medication?

<p>Rifampin may cause the urine and other bodily fluids to turn a reddish-orange color. (B)</p> Signup and view all the answers

A patient diagnosed with stable angina reports chest pain that is relieved by rest. What is the PRIMARY underlying pathophysiology causing this type of angina?

<p>A fixed atherosclerotic plaque causing reduced blood flow during exertion. (B)</p> Signup and view all the answers

A patient presents to the emergency department with severe chest pain that is not relieved by rest or nitroglycerin. The patient is likely experiencing:

<p>Unstable angina. (B)</p> Signup and view all the answers

A patient is diagnosed with Prinzmetal's (variant) angina. The nurse anticipates which medication to be MOST effective in managing this condition?

<p>Calcium channel blockers. (D)</p> Signup and view all the answers

A patient with angina is prescribed sublingual nitroglycerin. What instruction should the nurse give this patient regarding its use during an episode of chest pain?

<p>Take one tablet, and if pain persists after 5 minutes, call emergency services and take a second tablet. (A)</p> Signup and view all the answers

During a stressful situation, such as a car accident, the body releases catecholamines. What is a PRIMARY physiological effect of catecholamine release on the cardiovascular system?

<p>Increased heart rate and vasoconstriction. (B)</p> Signup and view all the answers

A patient taking beta-blockers for angina asks the nurse how these medications work. What is the nurse's BEST response?

<p>Beta-blockers reduce the heart rate and blood pressure, decreasing the heart's oxygen demand. (A)</p> Signup and view all the answers

A patient with hypertension is prescribed a new medication. Which statement indicates the best understanding of medication management?

<p>&quot;I will continue taking this medication even if I feel well, as directed by my doctor.&quot; (A)</p> Signup and view all the answers

A patient presents to the emergency department with a blood pressure reading of 200/120 mmHg and reports a severe headache and blurred vision. Which condition is most likely?

<p>Hypertensive emergency (D)</p> Signup and view all the answers

Which of the following is the most modifiable risk factor for peripheral artery disease (PAD)?

<p>Cigarette smoking (B)</p> Signup and view all the answers

A patient with PAD reports experiencing pain in their calf muscles after walking two blocks, which subsides with rest. What does this most likely indicate?

<p>Intermittent claudication (B)</p> Signup and view all the answers

An Ankle-Brachial Index (ABI) is ordered to measure the severity of a patient's PAD. Which result would confirm PAD?

<p>0.7 (B)</p> Signup and view all the answers

A nurse is teaching a patient with PAD about proper foot care. Which instruction is most important for preventing complications?

<p>Inspecting feet daily for any cuts, blisters, or redness. (B)</p> Signup and view all the answers

A patient with chronic kidney disease is considering dialysis. Which statement best describes the primary difference between hemodialysis and peritoneal dialysis?

<p>Hemodialysis filters the blood externally using a machine, while peritoneal dialysis uses the peritoneal membrane internally. (D)</p> Signup and view all the answers

Which of the following patients is most at risk for developing chronic renal insufficiency?

<p>A 55-year-old with hypertension and diabetes. (D)</p> Signup and view all the answers

Which of the following is the MOST likely initial presentation of pneumonia in older adults?

<p>Rapid decline in cognitive function, loss of appetite, and increased fatigue. (B)</p> Signup and view all the answers

A patient with pneumonia develops a pleural effusion. Which finding would suggest the effusion has progressed to empyema?

<p>Cloudy, purulent fluid with a high white blood cell count. (A)</p> Signup and view all the answers

Following a bronchoscopy, a patient reports a sore throat and mild hoarseness. What nursing intervention is MOST appropriate?

<p>Providing warm saline gargles and monitoring for stridor. (B)</p> Signup and view all the answers

A patient with pneumonia has a nursing diagnosis of 'Ineffective Airway Clearance related to excessive secretions.' Which intervention is MOST important to include in the plan of care?

<p>Assisting with frequent coughing and deep-breathing exercises. (A)</p> Signup and view all the answers

A patient is started on an ACE inhibitor for hypertension. What is an important instruction to provide to the patient regarding this medication?

<p>Monitor for a persistent dry cough and report it to your healthcare provider. (D)</p> Signup and view all the answers

Which of the following factors has the LEAST direct influence on a patient's blood pressure?

<p>Respiratory rate. (B)</p> Signup and view all the answers

The order reads, "Administer IV antihypertensive medication if MAP is greater than 110." The patient's blood pressure is 162/92. What is the MAP, and what is the nurse's next action?

<p>115; Administer the medication because the MAP is elevated. (A)</p> Signup and view all the answers

A patient with hypertension is prescribed a thiazide diuretic. What electrolyte imbalance should the nurse monitor for MOST closely?

<p>Hypokalemia. (B)</p> Signup and view all the answers

A patient with chronic bronchitis is experiencing increased dyspnea and a productive cough. Which intervention is the MOST appropriate initial nursing action?

<p>Administering a bronchodilator as prescribed. (C)</p> Signup and view all the answers

A patient with known emphysema is admitted with increasing shortness of breath. Which assessment finding requires the MOST immediate intervention?

<p>New onset confusion and agitation. (B)</p> Signup and view all the answers

Which of the following assessment findings is MOST indicative of Cor Pulmonale in a patient with chronic bronchitis?

<p>Peripheral edema and jugular venous distention. (D)</p> Signup and view all the answers

A patient is scheduled for a thoracentesis. Which nursing intervention is MOST important to perform immediately following the procedure?

<p>Monitor vital signs and assess for signs of pneumothorax. (A)</p> Signup and view all the answers

A nurse is educating a patient on the use of CPAP for sleep apnea. Which statement by the patient indicates a NEED for further teaching?

<p>&quot;It's okay if the mask leaks a little, as long as it's not too much.&quot; (C)</p> Signup and view all the answers

A patient is suspected of having TB. Which diagnostic test will confirm a diagnosis of active tuberculosis?

<p>Sputum culture positive for Mycobacterium tuberculosis. (C)</p> Signup and view all the answers

A patient with active TB is being discharged. Which instruction is MOST important to include in the patient's discharge teaching to prevent the spread of infection?

<p>Cover your mouth and nose when coughing or sneezing and dispose of tissues properly. (C)</p> Signup and view all the answers

A nurse finds a patient unresponsive and not breathing. What is the FIRST nursing action?

<p>Open the airway using a head-tilt/chin-lift maneuver. (C)</p> Signup and view all the answers

A patient with chronic bronchitis is admitted for increasing dyspnea and frequent coughing. Which finding would be MOST indicative of developing Cor Pulmonale?

<p>Distended neck veins and peripheral edema (D)</p> Signup and view all the answers

A patient is scheduled for a thoracentesis. Prior to the procedure, the nurse reviews the patient's chart. Which lab value would be MOST important to report to the physician before the procedure?

<p>Platelet count of 45,000/mm3 (B)</p> Signup and view all the answers

A patient is using a CPAP machine for sleep apnea. Which indicates the CPAP therapy is effective:

<p>The patient's oxygen saturation remains above 92% during sleep. (A)</p> Signup and view all the answers

Which scenario poses the GREATEST risk for a patient developing an airway obstruction?

<p>A post-operative patient who is confused and has a weak cough reflex. (B)</p> Signup and view all the answers

A patient who is post-operative is at risk for airway obstruction. What nursing intervention would be MOST appropriate?

<p>Encourage deep breathing and coughing exercises every 2 hours. (A)</p> Signup and view all the answers

A nurse is caring for a patient at risk for airway obstruction. Which assessment finding is an EARLY sign of airway obstruction?

<p>Increased restlessness or anxiety (C)</p> Signup and view all the answers

A patient with suspected active tuberculosis (TB) is admitted to the hospital. What is the PRIMARY mode of transmission the nurse should be aware of?

<p>Inhalation of airborne droplets (C)</p> Signup and view all the answers

A patient newly diagnosed with tuberculosis (TB) asks the nurse about the risk of spreading the infection. How should the nurse RESPOND?

<p>&quot;TB is spread through the air, but the risk decreases significantly with proper treatment and precautions.&quot; (C)</p> Signup and view all the answers

A patient with hypertension is prescribed a new medication. Which statement indicates the best understanding of lifestyle modifications to manage their condition alongside medication?

<p>&quot;I understand that lifestyle changes like reducing salt intake and exercising regularly can help manage my blood pressure along with the medication.&quot; (D)</p> Signup and view all the answers

Which blood pressure reading indicates a hypertensive crisis requiring immediate medical intervention?

<p>200/120 mmHg (D)</p> Signup and view all the answers

A patient is newly diagnosed with peripheral artery disease (PAD). Which risk factor, if modified, would have the MOST significant impact on slowing disease progression?

<p>Diabetes mellitus with poor glycemic control (D)</p> Signup and view all the answers

Which pathophysiological process is the PRIMARY underlying cause of peripheral artery disease (PAD)?

<p>Atherosclerosis leading to narrowing of arteries (C)</p> Signup and view all the answers

A patient with PAD reports experiencing a burning pain in their feet, especially at night when lying in bed. What is the MOST likely explanation for this symptom?

<p>Severe arterial insufficiency and distal tissue ischemia (D)</p> Signup and view all the answers

Which diagnostic test provides the MOST objective measure of arterial blood flow in a patient with suspected peripheral artery disease (PAD)?

<p>Ankle-Brachial Index (ABI) (D)</p> Signup and view all the answers

A patient with PAD is advised to sit with their legs in a dependent position (dangling) rather than elevated. What is the PRIMARY rationale for this recommendation?

<p>To promote arterial blood flow to the lower extremities (D)</p> Signup and view all the answers

Which of the following patients is at the HIGHEST risk for developing chronic renal insufficiency?

<p>A 60-year-old with long-standing diabetes and poorly controlled hypertension. (B)</p> Signup and view all the answers

A patient with a history of asthma presents to the emergency department in acute respiratory distress. Upon assessment, the nurse notes the patient is using accessory muscles, has a non-productive cough, and is wheezing loudly. Which intervention should the nurse prioritize?

<p>Initiating oxygen therapy and administering a short-acting bronchodilator. (D)</p> Signup and view all the answers

A patient with a long history of COPD and emphysema is being discharged home. He is prescribed home oxygen therapy. What is the MOST important instruction the nurse should give regarding oxygen use?

<p>Use oxygen at the lowest liter flow rate needed to maintain prescribed oxygen saturation. (A)</p> Signup and view all the answers

A nurse is caring for a patient with chronic bronchitis who is experiencing frequent productive coughs. Which intervention is MOST effective in promoting airway clearance?

<p>Teaching the patient effective coughing techniques and ensuring adequate hydration. (D)</p> Signup and view all the answers

A patient with an asthma diagnosis is prescribed a combination inhaler containing an inhaled corticosteroid (ICS) and a long-acting beta-agonist (LABA). What information is crucial for the nurse to emphasize regarding the correct use of this inhaler?

<p>The inhaler should be used daily, even when the patient is asymptomatic, to control inflammation. (C)</p> Signup and view all the answers

A patient with a known history of emphysema is admitted for increasing dyspnea and possible respiratory infection. The patient's arterial blood gas (ABG) results show pH 7.32, PaCO2 58 mm Hg, HCO3- 26 mEq/L, and PaO2 55 mm Hg. Which of the following interventions is MOST appropriate based on these results?

<p>Providing low-flow oxygen while monitoring respiratory effort and repeat ABGs. (A)</p> Signup and view all the answers

A patient with a serum sodium level of 155 mEq/L also presents with confusion, thirst, and decreased urine output. Which of the following mechanisms BEST explains the physiological basis for these manifestations?

<p>Fluid shifts from the intracellular space to the extracellular space, leading to cellular dehydration. (C)</p> Signup and view all the answers

A patient is receiving a hypertonic saline solution to correct severe hyponatremia. Which assessment finding would indicate that the treatment is causing an adverse effect that requires immediate nursing intervention?

<p>Crackles in the lungs and increased shortness of breath. (B)</p> Signup and view all the answers

A patient with hypocalcemia is prescribed calcium gluconate. Which of the following nursing interventions is MOST critical during the administration of this medication?

<p>Monitoring the ECG for changes and signs of hypercalcemia. (D)</p> Signup and view all the answers

A patient with chronic alcoholism is admitted for hypomagnesemia. Which of the following electrolyte imbalances is MOST likely to occur concurrently and exacerbate the patient's symptoms?

<p>Hypokalemia (D)</p> Signup and view all the answers

A patient with a history of heart failure is prescribed furosemide (Lasix). The nurse should emphasize which dietary modification to minimize the risk of hypokalemia?

<p>Increase intake of potassium-rich foods. (C)</p> Signup and view all the answers

A patient is diagnosed with metabolic acidosis due to severe diarrhea. Which compensatory mechanism would the nurse expect the body to initiate?

<p>Increased respiratory rate and depth. (C)</p> Signup and view all the answers

A patient with chronic obstructive pulmonary disease (COPD) develops respiratory acidosis. What is the MOST likely underlying cause of this acid-base imbalance?

<p>Inability to excrete sufficient carbon dioxide due to impaired ventilation. (C)</p> Signup and view all the answers

A patient is admitted with severe vomiting and dehydration. An arterial blood gas (ABG) reveals a pH of 7.48, PaCO2 of 44 mmHg, and HCO3- of 32 mEq/L. How should the nurse interpret these findings?

<p>Metabolic alkalosis, uncompensated. (B)</p> Signup and view all the answers

A patient post-bronchoscopy is now 2 hours removed from procedure. Which finding requires the MOST immediate intervention?

<p>Absent gag reflex; patient is asking for water. (D)</p> Signup and view all the answers

A patient is diagnosed with community-acquired pneumonia (CAP). What is the MOST likely causative agent the nurse should anticipate?

<p><em>Streptococcus pneumoniae</em> (C)</p> Signup and view all the answers

An older adult patient is admitted with suspected pneumonia. Which initial sign/symptom is MOST indicative of pneumonia in this population?

<p>Acute confusion and loss of appetite. (C)</p> Signup and view all the answers

A patient with pneumonia develops a large pleural effusion. Which assessment finding is MOST concerning and suggests the development of empyema?

<p>Fever, night sweats, and purulent fluid on thoracentesis. (C)</p> Signup and view all the answers

A patient with hypertension is prescribed a medication that inhibits the RAAS system. Which physiological effect directly contributes to lowering blood pressure?

<p>Vasodilation and reduced blood volume. (D)</p> Signup and view all the answers

A nurse is caring for a patient with hypertension and recent medication changes. Which patient statement indicates a need for further education regarding their treatment?

<p>&quot;I can stop taking the medication if my blood pressure is within normal limits for a few days.&quot; (D)</p> Signup and view all the answers

A patient's blood pressure is consistently around 150/90 mmHg. Which long-term complication is the patient at HIGHEST risk for if the hypertension is not well-managed?

<p>Chronic kidney disease (B)</p> Signup and view all the answers

A nurse is teaching a patient about factors influencing blood pressure. Which statement BEST describes the relationship between blood volume and blood pressure?

<p>Increased blood volume leads to increased blood pressure. (B)</p> Signup and view all the answers

A patient with suspected active tuberculosis (TB) is being prepared for diagnostic testing. Which test result would be MOST conclusive for confirming active TB disease?

<p>A sputum culture positive for <em>Mycobacterium tuberculosis</em>. (D)</p> Signup and view all the answers

When educating a patient recently diagnosed with tuberculosis (TB) and prescribed multi-drug therapy, which statement is MOST important to emphasize to ensure adherence and prevent drug resistance?

<p>&quot;It is essential to take all medications exactly as prescribed for the entire duration, even if you feel well.&quot; (A)</p> Signup and view all the answers

A patient reports experiencing chest pain only during periods of significant emotional stress or exertion, with the pain typically resolving with rest or nitroglycerin. This presentation is MOST consistent with which type of angina?

<p>Stable angina (A)</p> Signup and view all the answers

A patient with a history of stable angina reports experiencing more frequent and intense chest pain, even at rest. This change MOST likely indicates the development of which condition?

<p>Unstable angina (D)</p> Signup and view all the answers

A patient is diagnosed with Prinzmetal's angina. Which of the following mechanisms is the PRIMARY cause of chest pain in this condition?

<p>Coronary artery vasospasm (B)</p> Signup and view all the answers

In caring for a patient experiencing angina pectoris, the nurse knows that catecholamines contribute to anginal pain through which mechanism?

<p>Increasing heart rate, blood pressure, and myocardial contractility, leading to increased oxygen demand. (C)</p> Signup and view all the answers

A patient experiencing an acute angina attack is administered sublingual nitroglycerin. If the pain is not relieved after the first dose, what is the MOST appropriate next step, assuming the patient's systolic blood pressure remains above 100 mmHg?

<p>Administer a second dose of nitroglycerin 5 minutes after the first dose. (B)</p> Signup and view all the answers

A patient with angina is prescribed a beta-blocker. The nurse understands that the PRIMARY mechanism by which beta-blockers alleviate anginal pain is by:

<p>Reducing heart rate, blood pressure, and myocardial contractility, thereby decreasing myocardial oxygen demand. (A)</p> Signup and view all the answers

A patient with heart failure is prescribed an intravenous solution to help mobilize fluid from the interstitial space back into the intravascular space. Which type of solution is MOST likely to be ordered?

<p>Colloid solution (D)</p> Signup and view all the answers

A patient's serum albumin level is critically low. Which compensatory mechanism is LEAST likely to occur directly as a result of this imbalance?

<p>Increased blood pressure (A)</p> Signup and view all the answers

A patient with chronic kidney disease has a consistently elevated serum potassium level of 6.8 mEq/L. Besides medication, which dietary modification is MOST important for the nurse to reinforce?

<p>Limit intake of potassium-rich foods. (C)</p> Signup and view all the answers

A patient receiving a loop diuretic demonstrates signs of muscle weakness and cardiac arrhythmias. Which electrolyte imbalance is MOST likely contributing to these findings?

<p>Hypokalemia (A)</p> Signup and view all the answers

A patient with a suspected endocrine disorder is undergoing evaluation. If the healthcare provider suspects an issue with fluid balance regulation, which hormonal regulator should the nurse anticipate being assessed?

<p>Antidiuretic hormone (ADH) (D)</p> Signup and view all the answers

A patient is admitted with dehydration. After administering an initial bolus of intravenous fluids, which assessment finding BEST indicates that the fluid replacement is having a therapeutic effect on the patient's circulatory status?

<p>Increased blood pressure (D)</p> Signup and view all the answers

A patient with cirrhosis develops ascites. The nurse understands that this third spacing of fluid is PRIMARILY due to which factor?

<p>Decreased plasma protein levels (C)</p> Signup and view all the answers

A patient is prescribed spironolactone for fluid volume overload. Which mechanism of action BEST explains how this medication promotes fluid balance?

<p>Blocking the effects of aldosterone in the distal tubules. (C)</p> Signup and view all the answers

A patient with pneumonia is receiving antibiotics. Which assessment finding would BEST indicate that the treatment is effective?

<p>Decreased white blood cell count. (C)</p> Signup and view all the answers

A female patient is being evaluated for possible angina. Which symptom is MORE commonly reported by women experiencing angina compared to men?

<p>Unexplained fatigue, nausea, and back pain. (D)</p> Signup and view all the answers

An older adult patient is admitted with suspected pneumonia but does not have a fever or productive cough. Which of the following symptoms should the nurse prioritize as being MOST indicative of pneumonia in this population?

<p>New onset of confusion. (B)</p> Signup and view all the answers

A patient with suspected tuberculosis (TB) is being admitted. What is the rationale for placing the patient in a negative pressure room?

<p>To prevent the escape of airborne TB particles from the room. (C)</p> Signup and view all the answers

A patient with pneumonia develops a large pleural effusion that requires drainage. Which potential complication should the nurse monitor for MOST closely following a thoracentesis?

<p>Development of a pneumothorax. (D)</p> Signup and view all the answers

A patient with hypertension is prescribed a medication that works by reducing preload and afterload. Which class of medication would MOST likely have these effects?

<p>ACE inhibitors (A)</p> Signup and view all the answers

A patient is started on isoniazid (INH) and rifampin for active tuberculosis. What is the MOST important reason for using multiple drugs to treat TB?

<p>To prevent the development of drug-resistant strains of TB. (B)</p> Signup and view all the answers

A nurse is caring for a patient with hypertension and monitors the Mean Arterial Pressure. Based on the blood pressure of 140/80 mm Hg, what is the patient's MAP?

<p>100 mm Hg (A)</p> Signup and view all the answers

A patient with active TB is being discharged home. Which statement indicates a need for further teaching regarding infection control?

<p>&quot;I can stop taking my medications once I feel better to avoid side effects.&quot; (A)</p> Signup and view all the answers

A patient with stable angina reports chest pain after walking up a flight of stairs. How does stable angina differ pathophysiologically from unstable angina?

<p>Stable angina results from fixed atherosclerotic plaque, whereas unstable angina involves plaque rupture and thrombus formation. (D)</p> Signup and view all the answers

A patient is prescribed a new antihypertensive medication. Which statement indicates the BEST understanding of how hormonal systems affect blood pressure?

<p>&quot;This medicine will help my kidneys regulate my blood pressure.&quot; (C)</p> Signup and view all the answers

A patient admitted for unstable angina is prescribed nitroglycerin. What is the PRIMARY mechanism by which nitroglycerin relieves anginal pain?

<p>It dilates coronary arteries, increasing blood flow to the heart. (B)</p> Signup and view all the answers

A patient is diagnosed with community-acquired pneumonia. What factor is MOST crucial in determining the appropriate treatment and setting (inpatient vs. outpatient) for this patient?

<p>Patient's age and overall health status. (B)</p> Signup and view all the answers

A patient reports chest pain only at night while sleeping. The pain is severe and wakes them up. Which type of angina is the MOST likely cause?

<p>Prinzmetal's (variant) angina. (C)</p> Signup and view all the answers

During a high-stress situation, the sympathetic nervous system is activated. What is the most direct effect of catecholamine release on a patient's blood pressure?

<p>Increased heart rate and vasoconstriction. (C)</p> Signup and view all the answers

A patient with angina is prescribed a beta-blocker. What is the PRIMARY mechanism by which beta-blockers reduce anginal symptoms?

<p>By decreasing heart rate and contractility, reducing myocardial oxygen demand. (C)</p> Signup and view all the answers

A patient with a history of asthma is experiencing shortness of breath and wheezing. After administering an inhaled bronchodilator, what assessment finding would indicate the most effective response to the medication?

<p>Improved peak expiratory flow rate (PEFR). (B)</p> Signup and view all the answers

A patient with chronic bronchitis is prescribed home oxygen therapy. Which of the following instructions is MOST important for the nurse to emphasize to ensure patient safety and prevent complications?

<p>Maintain a smoke-free environment and post 'No Smoking' signs prominently. (D)</p> Signup and view all the answers

A patient's arterial blood gas (ABG) results are: pH 7.32, PaCO2 50 mm Hg, HCO3- 26 mEq/L. Which of the following clinical manifestations would the nurse correlate MOST closely with these blood gas values?

<p>Decreased respiratory rate and depth (A)</p> Signup and view all the answers

An older adult patient is admitted with dehydration. Besides monitoring intake and output, which assessment provides the best indication of the patient's fluid balance status?

<p>Monitoring daily weight. (A)</p> Signup and view all the answers

A patient with emphysema is being discharged home on supplemental oxygen. Which statement indicates the best understanding of the discharge instructions regarding oxygen use?

<p>I will clean the nasal cannula daily with soap and water. (B)</p> Signup and view all the answers

Which patient statement demonstrates the BEST understanding of lifestyle modifications for managing hypertension?

<p>&quot;I will try to reduce stress through relaxation techniques, limit alcohol intake, and follow a balanced diet.&quot; (C)</p> Signup and view all the answers

A patient with PAD reports experiencing significant foot pain, even while resting. On assessment, the nurse notes that the limb is cool to the touch with diminished pulses. What is the MOST appropriate initial nursing intervention?

<p>Notify the healthcare provider immediately about the change in condition. (A)</p> Signup and view all the answers

A patient with PAD is prescribed pentoxifylline. What is the PRIMARY mechanism of action of this medication in treating PAD?

<p>Decreasing blood viscosity and improving red blood cell flexibility. (B)</p> Signup and view all the answers

Which nursing intervention is MOST important when caring for a patient with peripheral artery disease (PAD) to promote circulation?

<p>Teaching the patient to inspect their feet daily for any wounds or changes. (C)</p> Signup and view all the answers

A patient with chronic kidney disease (CKD) and a history of diabetes is scheduled to start hemodialysis. Which assessment finding is MOST important for the nurse to communicate to the dialysis team prior to the first treatment?

<p>Serum potassium level of 6.8 mEq/L. (B)</p> Signup and view all the answers

A patient undergoing peritoneal dialysis develops a fever, abdominal pain, and the peritoneal effluent appears cloudy. Which complication is MOST likely?

<p>Peritonitis (C)</p> Signup and view all the answers

Which statement best describes the PRIMARY advantage of peritoneal dialysis compared to hemodialysis?

<p>Peritoneal dialysis allows greater patient independence and flexibility in scheduling treatments. (D)</p> Signup and view all the answers

Which of the following factors presents the GREATEST risk for the development of chronic renal insufficiency?

<p>Long-standing history of poorly controlled hypertension and diabetes. (D)</p> Signup and view all the answers

A patient with a history of chronic bronchitis presents with increased dyspnea, productive cough, and wheezing. Which underlying pathophysiological change is MOST likely contributing to these symptoms?

<p>Inflammation and excess mucus production in the airways. (D)</p> Signup and view all the answers

During a thoracentesis, a patient suddenly develops sharp chest pain and shortness of breath. The nurse suspects a pneumothorax. Which immediate nursing action is MOST appropriate?

<p>Apply oxygen and notify the physician immediately. (A)</p> Signup and view all the answers

A patient with known emphysema is admitted with worsening respiratory distress. Which set of assessment findings would MOST strongly suggest the development of Cor Pulmonale?

<p>Peripheral edema, jugular venous distension, and hepatomegaly. (B)</p> Signup and view all the answers

A patient admitted with a suspected airway obstruction is exhibiting stridor, intercostal retractions, and cyanosis. What is the PRIORITY nursing intervention?

<p>Prepare for immediate intubation or tracheostomy. (D)</p> Signup and view all the answers

A patient is prescribed CPAP therapy for obstructive sleep apnea. Which statement indicates that the patient understands the purpose of the CPAP machine?

<p>&quot;The CPAP machine will provide continuous airflow to keep my airway open during sleep.&quot; (D)</p> Signup and view all the answers

A patient diagnosed with active pulmonary tuberculosis (TB) is being treated with multi-drug therapy. After one week of treatment, the patient reports feeling better and wants to discontinue the medication. Which statement is the MOST appropriate response by the nurse?

<p>&quot;You must continue taking all medications as prescribed to prevent drug resistance and ensure the infection is eradicated.&quot; (B)</p> Signup and view all the answers

A nurse is caring for a patient with active tuberculosis (TB). Which intervention is MOST effective in minimizing the risk of transmission to others?

<p>Placing the patient in a private room with negative pressure ventilation. (D)</p> Signup and view all the answers

When educating a patient on managing risk factors for airway obstruction, which recommendation is MOST appropriate for an adult patient with dysphagia following a stroke?

<p>Instruct the patient to tuck their chin when swallowing. (A)</p> Signup and view all the answers

Which of the following BEST describes the physiological process of 'third spacing'?

<p>The abnormal shift of fluid from the intravascular space into the interstitial space or body cavities. (B)</p> Signup and view all the answers

A patient presents with muscle weakness, tetany, and cardiac arrhythmias. Which electrolyte imbalance is MOST likely contributing to these signs and symptoms?

<p>Hypokalemia (D)</p> Signup and view all the answers

A patient with a history of asthma is experiencing an acute exacerbation. After administering the prescribed bronchodilator, which assessment finding indicates the greatest need for immediate further intervention?

<p>Use of accessory muscles with retraction and a respiratory rate of 32 breaths/min. (A)</p> Signup and view all the answers

A patient with a long history of COPD is being discharged home on continuous low-flow oxygen. Which statement indicates the patient understands the MOST important aspect of their oxygen therapy?

<p>&quot;I understand that I need to use my oxygen as prescribed to maintain the proper oxygen saturation levels, even when I feel okay.&quot; (C)</p> Signup and view all the answers

Which intravenous fluid type would BEST be used to expand the intravascular volume in a patient experiencing hypotension due to fluid volume deficit?

<p>Isotonic solution like 0.9% saline (A)</p> Signup and view all the answers

A doctor orders albumin for a patient with severe edema. What is the PRIMARY mechanism by which albumin administration can reduce edema?

<p>Increasing the osmotic pressure in the intravascular space. (C)</p> Signup and view all the answers

A patient with emphysema is being discharged. Which home environment modification is most important for the nurse to recommend to improve the patient's respiratory function and safety?

<p>Ensuring good ventilation and avoiding strong fumes or irritants. (B)</p> Signup and view all the answers

A nurse is caring for a patient with chronic bronchitis who is at risk for developing respiratory acidosis. Which intervention would be MOST effective in preventing this complication?

<p>Promoting effective coughing and deep breathing exercises. (D)</p> Signup and view all the answers

A patient is admitted with dehydration. Which assessment finding is the MOST reliable indicator of fluid volume deficit?

<p>Tented skin turgor (B)</p> Signup and view all the answers

A patient with heart failure is experiencing fluid volume excess. Which assessment finding is MOST indicative of this condition?

<p>Crackles in the lungs (D)</p> Signup and view all the answers

A patient is admitted with a diagnosis of acute bronchitis. The patient's arterial blood gas (ABG) results show a pH of 7.30, PaCO2 of 55 mm Hg, HCO3- of 25 mEq/L, and PaO2 of 88 mm Hg. Which intervention should the nurse prioritize based on these results?

<p>Encouraging the patient to cough and deep breathe while providing chest physiotherapy. (C)</p> Signup and view all the answers

A patient's lab results show a potassium level of 5.8 mEq/L. Which medication is MOST likely to contribute to this electrolyte imbalance?

<p>Lisinopril (Prinivil), an ACE inhibitor (B)</p> Signup and view all the answers

The nurse is reviewing the medications of a patient with chronic kidney disease. Which medication would warrant careful monitoring due to its potential to exacerbate hypermagnesemia?

<p>Magnesium hydroxide (Milk of Magnesia) (D)</p> Signup and view all the answers

A patient with chronic bronchitis is admitted with increasing dyspnea and a productive cough. Which pathophysiological process MOST likely contributes to these manifestations?

<p>Increased mucus production and inflammation of the bronchial walls. (D)</p> Signup and view all the answers

A patient presents with peripheral edema, jugular venous distension, and hepatomegaly secondary to chronic bronchitis. These findings are MOST indicative of which complication?

<p>Cor Pulmonale. (D)</p> Signup and view all the answers

A patient is undergoing a thoracentesis. During the procedure, the patient reports sharp chest pain and shortness of breath. What is the nurse's MOST appropriate initial action?

<p>Alerting the physician and monitoring for signs of pneumothorax. (C)</p> Signup and view all the answers

The doctor ordered a CPAP for a patient with sleep apnea. Which statement BEST describes the primary mechanism by which CPAP improves ventilation and reduces apneic episodes?

<p>CPAP provides a continuous positive pressure that keeps the airway open, preventing collapse. (B)</p> Signup and view all the answers

A patient with obstructive sleep apnea is prescribed CPAP therapy. Which of the following instructions is MOST important for the nurse to provide to ensure effective use of the CPAP machine?

<p>Clean the CPAP mask and tubing with mild soap and water daily. (C)</p> Signup and view all the answers

A patient with suspected active tuberculosis (TB) is being admitted to the hospital. Which nursing intervention is MOST critical to implement FIRST?

<p>Placing the patient in a negative pressure isolation room. (A)</p> Signup and view all the answers

Following diagnosis of active tuberculosis, a patient asks how the infection spreads. Which response BEST explains the transmission of tuberculosis?

<p>Via airborne droplets produced by coughing or sneezing. (C)</p> Signup and view all the answers

A post-operative patient is recovering from anesthesia. Which assessment finding is the MOST concerning and indicates the HIGHEST risk for airway obstruction?

<p>Decreased oxygen saturation with stridor. (A)</p> Signup and view all the answers

A patient with a new diagnosis of tuberculosis (TB) asks how the disease is spread. What is the MOST accurate explanation?

<p>TB spreads primarily through the inhalation of airborne droplets containing the bacteria. (C)</p> Signup and view all the answers

A patient is diagnosed with active tuberculosis and is prescribed rifampin, isoniazid, pyrazinamide, and ethambutol. What is the MOST critical teaching point regarding adherence to this medication regimen?

<p>Adhering to the medication schedule as prescribed is crucial to prevent drug resistance and ensure effective treatment. (C)</p> Signup and view all the answers

A patient is experiencing chest pain that occurs predictably with exertion and is relieved by rest. Which type of angina is the patient MOST likely experiencing?

<p>Stable angina (A)</p> Signup and view all the answers

A patient with a history of stable angina reports a recent change in their chest pain pattern. They now experience pain more frequently, with less exertion, and sometimes even at rest. What does this change MOST likely indicate?

<p>Progression to unstable angina (C)</p> Signup and view all the answers

A patient is diagnosed with Prinzmetal's angina. What is the PRIMARY underlying cause of this type of chest pain?

<p>Coronary artery vasospasm (A)</p> Signup and view all the answers

During a stressful situation, a patient's body releases catecholamines. What is the PRIMARY effect of catecholamines on the cardiovascular system?

<p>Increased heart rate, increased contractility, and vasoconstriction (B)</p> Signup and view all the answers

A patient experiencing angina takes sublingual nitroglycerin for chest pain. What is the expected primary effect of this medication?

<p>Decreased myocardial oxygen demand through vasodilation (B)</p> Signup and view all the answers

A patient with angina is prescribed a beta-blocker. Which mechanism explains how beta-blockers help to prevent angina?

<p>Reducing heart rate and contractility to decrease myocardial oxygen demand (D)</p> Signup and view all the answers

A patient with hypertension is prescribed a new medication and provided education on lifestyle modifications. Which statement indicates the patient understands the importance of integrating both medication and lifestyle changes?

<p>&quot;I need to continue my medication even if I feel well and my blood pressure is controlled with lifestyle changes.&quot; (D)</p> Signup and view all the answers

Which blood pressure reading is indicative of a hypertensive crisis requiring immediate medical intervention?

<p>180/120 mmHg (B)</p> Signup and view all the answers

A patient is diagnosed with peripheral artery disease (PAD). Which modifiable risk factor, if addressed, would have the MOST significant impact on preventing complications?

<p>Smoking (A)</p> Signup and view all the answers

A patient with peripheral artery disease (PAD) reports experiencing intermittent claudication. Which statement BEST describes the pain associated with this condition?

<p>Muscle pain that occurs with exercise and is relieved by rest (A)</p> Signup and view all the answers

A patient with suspected peripheral artery disease (PAD) undergoes an Ankle-Brachial Index (ABI) test. Which ABI result is MOST consistent with severe PAD?

<p>0.40 (D)</p> Signup and view all the answers

A patient with PAD asks the nurse about positioning their legs while sitting. Which position is MOST beneficial for promoting arterial blood flow to the lower extremities?

<p>Maintaining the legs level with the heart (D)</p> Signup and view all the answers

A patient with diabetes and hypertension is MOST at risk for developing chronic renal insufficiency due to the impact of these conditions on which structures?

<p>Glomeruli (A)</p> Signup and view all the answers

A 78-year-old patient is admitted with suspected pneumonia. Which initial symptom is MOST indicative of pneumonia in this age group?

<p>Anorexia and increased fatigue. (B)</p> Signup and view all the answers

A patient is scheduled for a bronchoscopy. Which nursing intervention is MOST important to implement immediately post-procedure while the patient recovers?

<p>Monitor for signs of laryngeal edema or stridor. (D)</p> Signup and view all the answers

A patient with pneumonia has a nursing diagnosis of 'Ineffective Airway Clearance.' Which intervention is MOST effective in addressing this problem?

<p>Assisting the patient to effectively cough and deep breathe. (D)</p> Signup and view all the answers

To assess the effectiveness of antihypertensive therapy, the healthcare provider orders the calculation of the Mean Arterial Pressure (MAP). Which formula should the nurse use to calculate MAP?

<p>Diastolic Blood Pressure + 1/3 (Systolic Blood Pressure - Diastolic Blood Pressure) (B)</p> Signup and view all the answers

A patient with hypertension is prescribed a new medication. Which statement indicates the BEST understanding of managing hypertension?

<p>&quot;I need to continue taking this medication even if I feel fine, to protect my organs.&quot; (A)</p> Signup and view all the answers

A patient with a history of hypertension is prescribed a medication that inhibits the Renin-Angiotensin-Aldosterone System (RAAS). Through which mechanism does inhibiting this system DIRECTLY lower blood pressure?

<p>By promoting vasodilation and decreasing sodium and water retention. (D)</p> Signup and view all the answers

A patient is being treated for hypertension. Which of the following factors has the LEAST direct influence on a patient's blood pressure?

<p>Respiratory rate (B)</p> Signup and view all the answers

A patient presents to the clinic with a blood pressure of 162/94 mmHg. The nurse calculates the Mean Arterial Pressure (MAP). What is the patient's MAP, and what does this value indicate?

<p>116 mmHg, indicating hypertension and increased risk of cardiovascular events. (B)</p> Signup and view all the answers

Flashcards

Intracellular fluid (ICF)

Fluid inside cells; about two-thirds of total body water.

Extracellular fluid (ECF)

Fluid outside cells, including interstitial fluid and intravascular fluid.

Third spacing

Abnormal shift of fluid from intravascular space into interstitial space or body cavities.

Isotonic solutions

Solutions with the same osmolality as blood; no fluid shift.

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Hypertonic solutions

Solutions with higher osmolality than blood; pulls fluid into blood vessels.

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Hypotonic solutions

Solutions with lower osmolality than blood; moves fluid into cells.

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Colloids

Contain large molecules; expand plasma volume; e.g., albumin.

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Fluid volume deficit

Fluid volume deficit; dehydration.

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Acidosis

A condition where the blood's pH is too low (below 7.35), indicating excessive acid.

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Alkalosis

A condition where the blood's pH is too high (above 7.45), indicating excessive base.

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Asthma: Initial Signs

Wheezing, breathlessness, chest tightness, and coughing.

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Asthma: Emergency Medication

A short-acting beta-agonist (SABA) inhaler, used to quickly relax airway muscles and ease breathing difficulties during an asthma attack.

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COPD: Primary Symptoms

Chronic cough, sputum production, and shortness of breath. These result from damage to the lungs over time.

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Thoracentesis

A procedure to remove fluid or air from the pleural space for diagnostic or therapeutic purposes.

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Cor Pulmonale

Right-sided heart failure caused by chronic lung disease.

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Sleep Apnea

Temporary cessation of breathing during sleep.

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Airway Obstruction

Foreign object or blockage preventing airflow.

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Position to Prevent Obstruction

Elevate the head of the bed and position patient on their side.

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CPAP vs. BiPAP

CPAP: Continuous pressure; BiPAP: Two pressure levels (inhale/exhale).

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Tuberculosis (TB)

Infection caused by Mycobacterium tuberculosis.

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TB Main Target

Respiratory system, especially the lungs.

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TB treatment

Combination of antibiotics to treat tuberculosis

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Stable Angina

Chest pain caused by reduced blood flow to the heart muscle resulting from the heart working harder than usual. Has a regular pattern.

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Unstable Angina

Unexpected chest pain that occurs at rest due to reduced blood flow to the heart. Requires emergency treatment.

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Vasospastic Angina

Chest pain caused by spasm in the coronary arteries restricting blood flow to the heart, usually occurs while at rest between midnight and early morning.

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Catecholamines

Hormones released in response to stress. Epinephrine (adrenaline), norepinephrine, and dopamine are most common

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Triggers for Catecholamine Release

Physical stress, emotional stress, injury, illness, exercise.

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Effects of Catecholamines

Increases heart rate, blood pressure, and breathing rate. Diverts blood flow to muscles and brain.

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Angina Medications

Medications used to treat angina, including nitrates, beta-blockers, and calcium channel blockers.

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Angina signs in women

Chest pain, fatigue, sleep disturbance, SOB, indigestion, anxiety.

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Types of pneumonia

Community-Acquired (CAP), Hospital-Acquired (HAP), Aspiration Pneumonia, Opportunistic Pneumonia.

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Pneumonia risk factors

Advanced age, Chronic diseases, Immunocompromised.

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Pneumonia in older adults

Confusion, weakness, loss of appetite.

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Pneumonia complications

Pleurisy, sepsis, acute respiratory failure.

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Pneumonia diagnosis

Chest X-ray, sputum culture, blood cultures.

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Bronchoscopy complications

Hemorrhage, infection, pneumothorax.

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Influences on Blood Pressure

Cardiac output x systemic vascular resistance.

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Hypertensive Crisis

Elevated blood pressure that can cause organ damage.

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PAD Risk Factors

Smoking, diabetes, high cholesterol, hypertension, age, family history.

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Cause of PAD

Atherosclerosis (plaque buildup in arteries).

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Intermittent Claudication

Aching, cramping, fatigue, or pain in the muscles when active, relieved by rest.

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PAD Patient Positioning

Keep legs dependent (below heart level) when sitting.

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PAD Medications

Antiplatelet agents (e.g., aspirin, clopidogrel) and statins.

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PAD Patient Education

Stop smoking, control diabetes/cholesterol/BP, exercise, foot care.

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CKD Risk Factors

Diabetes, hypertension, glomerulonephritis, polycystic kidney disease, and recurrent kidney infections..

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Acidosis: Rapid Respiration

Rapid breathing when the body is trying to expel excess CO2.

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Alkalosis: Common Symptoms

Lightheadedness, numbness/tingling in the extremities, and muscle cramps are signs.

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Acid-Base Balance: Kidneys

The kidneys maintain long-term acid-base balance by excreting or reabsorbing acids and bases.

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Asthma: Rescue Inhaler

Asthma patient should have a short-acting beta-agonist (SABA) inhaler.

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COPD: Oxygen Delivery

Use nasal cannula to avoid suppressing the hypoxic drive.

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Fluid Volume Deficit (FVD)

Occurs when there is a decrease in fluid volume in body.

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Cause of TB

Caused by bacteria; can remain in the air for long periods.

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Airborne Precautions for TB

Placement in a negative pressure room and wearing a fitted N95 respirator mask.

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Medication for TB

Antibiotics which include anti-tubercular drugs.

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Sleep Apnea Causes

Temporary pauses in breathing during sleep, leading to disrupted sleep and health issues.

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Causes of Airway Obstruction

Foreign objects, swelling, or conditions blocking the passage of air to the lungs.

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TB Infection Process

The process of how Mycobacterium tuberculosis infects a person, usually through inhaled droplets.

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TB Spread

Close contact with an infected individual through airborne droplets from coughing, sneezing, or speaking.

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TB Signs and Symptoms

Cough, fever, night sweats, weight loss, fatigue, and coughing up blood.

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TB Isolation Precaution

Using precautions to prevent spread of airborne pathogens like Tuberculosis

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Community-Acquired Pneumonia (CAP)

Pneumonia that develops outside of a hospital setting or within 48 hours of admission.

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Hospital-Acquired Pneumonia (HAP)

Pneumonia acquired in the hospital, typically after 48 hours of admission.

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Aspiration Pneumonia

Pneumonia resulting from inhaling food, liquid, or vomit into the lungs.

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Atypical Pneumonia Symptoms in Older Adults

Confusion, altered mental status, worsening weakness, or falls.

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MAP Calculation

Mean Arterial Pressure = (Systolic BP + 2(Diastolic BP)) / 3

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Normal MAP Range

70-100 mmHg

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External Hemodynamic Monitoring

Non-invasive blood pressure (NIBP) monitoring

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Hypertension Signs and Symptoms

Headache, nosebleeds, vision changes, dizziness, or chest pain.

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Hypertension Teaching

Teach patients about lifestyle changes, medications, monitoring BP at home, and recognizing complications.

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Hypertensive Crisis Value

Systolic over 180 mmHg or diastolic over 120 mmHg, with signs of organ damage.

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Intermittent Claudication sign

Pain that occurs in the legs during exercise and is relieved by rest.

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PAD Diagnostic Tests

ABI, doppler ultrasound, angiography, MRI.

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PAD Nursing Interventions

Pain management, skin care, exercise, education.

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PAD - Position in Chair

Avoid crossing legs, keep legs dependent, avoid prolonged standing or sitting.

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Hemodialysis vs. Peritoneal Dialysis

Hemodialysis is outside the body, peritoneal is inside using abdominal lining.

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PaCO2

Arterial blood gas that measures the partial pressure of carbon dioxide in the blood.

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Rhonchi

Lung sounds that are low-pitched, rattling sounds, often caused by secretions or mucus in the larger airways. Heard more during expiration.

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Asthma: Nursing Management

Administer a short-acting beta-agonist inhaler (SABA) to open airways.

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Bronchitis

Inflammation of the airways, excess mucus production.

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Pneumothorax

A collapsed lung due to air accumulation in the pleural space.

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CPAP

Continuous pressure keeps airway open.

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BiPAP

Higher pressure on inhale, lower on exhale.

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Angina Symptoms in Women

Atypical chest pain, fatigue, sleep disturbances, shortness of breath, indigestion, and anxiety.

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Pneumonia Types

Community-Acquired, Hospital-Acquired, Aspiration, and Opportunistic.

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Cardiac Output

Volume of blood pumped per minute.

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Systemic Vascular Resistance (SVR)

Resistance of blood vessels to blood flow.

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TB Diagnostics

Sputum cultures, chest x-rays, and TB skin tests (Mantoux test).

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Anti-TB Drugs

Combination of antibiotics used to kill TB bacteria.

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TB Patient Education

Complete full medication course, hygiene practices, and regular follow-ups, educate on signs

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Hypertension Patient Education

Modifying lifestyle, adherence to medication regimens, regular monitoring of blood pressure at home, and recognizing signs of complications.

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PAD Signs and Symptoms

Numbness or weakness in legs/feet, changes in skin color, sores that don't heal, or pain when walking.

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Arterial Blood Gases (ABGs)

Arterial Blood Gas determining acidity or alkalinity in the blood.

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Crackles (Rales)

Loud, bubbly noises during inspiration, indicating fluid in the small airways.

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Asthma: Early Indicators

First signs include wheezing, chest tightness, coughing, and shortness of breath.

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Asthma: Patient Education

Avoid triggers, use a peak flow meter, adhere to medication, and know when to seek emergency care.

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Status Asthmaticus signs

Rapid breathing increases effort to breathe and causes exhaustion. Confusion and cyanosis might also occur.

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Intracellular Fluid

Fluid inside cells.

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Extracellular Fluid

Fluid outside cells; includes interstitial fluid and plasma.

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Thoracentesis Complications

Complications include pneumothorax, bleeding, infection, and pain.

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Chronic Bronchitis & Emphysema

Chronic inflammation and mucus production, plus alveolar damage.

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Airway Obstruction Prevention

Elevate the head of the bed or use lateral position.

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TB Infection Spread

Bacteria spread through airborne droplets, infecting the lungs.

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Catecholamine Triggers

Physical stress to the body; emotional stress.

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Catecholamine Effects

Increases heart rate, blood pressure, and breathing rate.

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What is Pneumonia?

Infection of the lung parenchyma.

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Pneumonia Categories

Community-Acquired Pneumonia (CAP), Hospital-Acquired Pneumonia (HAP), Aspiration Pneumonia, and Opportunistic Pneumonia.

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Hypertension: Patient Teaching

Teach lifestyle changes, medications, monitoring BP, and recognizing complications.

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Peripheral Artery Disease: Risk Factors

Smoking, diabetes, high cholesterol, hypertension, age, and family history.

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Peripheral Artery Disease: Cause

Atherosclerosis (plaque buildup) narrows arteries, reducing blood flow.

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PAD & Sitting

Position legs dependent, avoid prolonged standing or sitting.

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Chronic Kidney Disease: Risk Factors

Diabetes, hypertension, glomerulonephritis, polycystic kidney disease, recurrent kidney infections.

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